Physician Assistant.
San Jose.
$163,000
median salary, 38% above the national average
$141,000 to $190,000. Updated for 2026.
The numbers.
Everything you need to negotiate with confidence.
If you are evaluating a Physician Assistant offer in San Jose, CA, here is the reality: $141,000 to $190,000, with $163,000 as the midpoint. 38% above the national average. Surgical subspecialties and emergency medicine pay the highest PA salaries, often 20 to 30% above primary care. Do not accept the first number.
Salary range
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How San Jose compares
San Jose, CA
$163,000
Cost of living: 38% above average
National Average
$118,000
San Jose is $45,000 above
What you should know
The Physician Assistant landscape in San Jose is not what most salary sites will tell you. San Jose is the capital of Silicon Valley, home to Apple, Google, Adobe, and Cisco. The city consistently ranks among the highest paying metros in the country for technology roles. Competition for talent is fierce, with employers offering aggressive compensation packages including equity, signing bonuses, and premium benefits to attract and retain engineers. Surgical subspecialties and emergency medicine pay the highest PA salaries, often 20 to 30% above primary care. Geographic location matters significantly, with rural and underserved areas offering premium pay to attract talent. Experience in procedural skills and first-assist certification further boost compensation.
Entry-level PAs earn $95,000 to $105,000 in their first role. Mid-career PAs with specialty experience reach $120,000 to $135,000. Senior PAs in surgical specialties or leadership positions can command $145,000 to $165,000 with additional administrative responsibilities. In San Jose, those numbers run higher. The cost of living here is 38% above average, and employers adjust to compete.
Base salary is not the full picture. PAs commonly receive productivity bonuses, CME allowances of $2,000 to $5,000 annually, malpractice insurance, and relocation assistance. Hospital systems often add shift differentials for nights, weekends, and call coverage. And on the tax side: california's top 13.3% state rate applies fully here. While gross salaries in San Jose are among the nation's highest, the tax burden means net pay may not stretch as far as expected. When someone quotes you $163,000, ask what the total package looks like. The gap between base and total comp is where real money hides.
On negotiation: Always negotiate equity alongside base salary. San Jose employers expect candidates to evaluate total compensation including RSUs, and leaving equity on the table is leaving money behind. The range for Physician Assistants in San Jose runs from $141,000 to $190,000. That is not a narrow window. Where you land inside it depends almost entirely on whether you negotiate and how well you prepare.
Top industries in San Jose
Negotiating in San Jose
Always negotiate equity alongside base salary. San Jose employers expect candidates to evaluate total compensation including RSUs, and leaving equity on the table is leaving money behind.